Active NPI
Telaclinic
- Adult Medicine Physician
- Rosenberg, TX
National Provider Identifier
1114244704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- L8734
- Legal business name
- TELACLINIC
- Practice address
- 117 Lane Dr
Suite 2
Rosenberg, TX 77471-2200 - Phone
- (281) 633-0148
- NPI assigned
- Apr 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Walter Holmsten
- Title
- President
- Phone
- (281) 633-0148
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | L8734 | TX | Primary |
Addresses
Primary practice location
117 Lane Dr
Suite 2
Rosenberg, TX 77471-2200
Mailing address
9337B Katy Fwy
131
Houston, TX 77024-1515
Phone (281) 633-0148
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271980800000",
"number": "1114244704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9337B KATY FWY",
"address_2": "131",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770241515",
"telephone_number": "281-633-0148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 LANE DR",
"address_2": "SUITE 2",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774712200",
"telephone_number": "281-633-0148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELACLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-23",
"last_updated": "2010-04-23",
"status": "A",
"authorized_official_last_name": "HOLMSTEN",
"authorized_official_first_name": "WALTER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-633-0148",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "TX",
"license": "L8734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rosenberg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.